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Abstract To investigate the clinical effect of laparoscopic and transabdominal ovarian cystectomy of women with ovarian cysts, and to study their influence on their ovarian reserve function. Methods: From January 2016 to June 2018, 150 women with ovarian cyst underwent ovarian ovarian cystectomy were divided into control group and experimental group (75 cases in each group) according to the random number table method. Women in the control group had received transabdominal ovarian cystectomy, and women in the experimental group had received laparoscopic ovarian cystectomy. The levels of anti ovarian antibody (AOAb), anti zona pellucida antibody (AzpAb), anti nuclear antibody (ANA), and ovarian reserve function indexes, such as anti Mullerian hormone (AMH), follicle stimulating hormone (FSH), and estradiol (E2), and immune function indexes, such as immunoglobulin M (IgM), immunoglobulin A (IGA), and immunoglobulin G (IgG)), and operation situation of women were compared between the two groups. Results: After operation, the AOAb, AzpAb, and ANA levels, and the E2 and FSH levels of women in the experimental group were significant lower than those of women in the control group, but the levels of AMH and IgG of women in the experimental group were significant higher (all P＜0.05). There were no significant different in IgM and IgA levels between the two groups (P>0.05). The operation time, intraoperative hemorrhage, and the time of getting out of bed of women in the experimental group were significant lower than those of women in the control group (P＜0.05). Conclusion: Laparoscopic ovarian cystectomy has the advantages of fewer traumas, shorter operation time, less intraoperative bleeding, and faster recovery, but transabdominal ovarian cystectomy has less impact on ovarian reserve function with better protection for reproductive function of women.
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